Do you switch from 0.15 mg to 0.3 mg epinephrine at 55 lbs or 66 lbs?

Dr. @Dr. First Last, thank you for posting this question. I see variances in practice among both allergy and primary care practices on when a patient is prescribed the 0.3mg dose of epinephrine. Our practice is to switch patients to 0.3mg when they are 25 kg to prevent underdosing and inadequate res...

The rationale for making this switch is that 0.15 mg epinephrine significantly under treats a 25 kg child (who would receive 0.25 mg in the ER setting), and that a slightly higher dose of 0.30 mg is typically well tolerated. References: Sicherer & Simons, PMID 17332221, and Brayn et al., PMID 281837...